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Recurring Acne, Dark Marks, and Pits on Oily Skin
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Skin & Hair Concerns
Question #21904
51 days ago
123

Recurring Acne, Dark Marks, and Pits on Oily Skin - #21904

مريم

I am a teenage girl with oily skin, and I don’t use any makeup. I have a persistent problem on my face: Acne keeps appearing and disappearing, and I have many blackheads, especially on my nose and forehead. After acne heals, dark marks remain, and some areas have small pits. My pores appear enlarged. I don’t have a consistent skincare routine, and I only wash my face. I’ve tried over-the-counter creams, which give temporary improvement, but the problem keeps returning. I would like to know: Is this a type of acne? What causes the dark marks and pits? What is a safe daily skincare routine suitable for my oily skin? Can the marks and pits improve with creams, or do they need other treatments?

Age: 15
Chronic illnesses: لا يوجد
Acne
Oily skin
Enlarged pores
Dark spots
Acne scars
Blackheads
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
50 days ago
5

Hello,

Yes — this is acne vulgaris (comedonal + inflammatory acne), very common at your age.

Why this happens: Oily skin + blocked pores → blackheads & pimples After acne heals, it can leave dark marks (post-inflammatory pigmentation) Pits happen when acne damages deeper skin layers Enlarged pores are common with oily skin

Safe daily routine (simple): Morning: gentle foaming face wash → oil-free sunscreen (SPF 30+)

Night: face wash → adapalene 0.1% gel (pea-sized, 3–4 nights/week)

For spots: benzoyl peroxide 2.5% only on pimples

Important tips: Don’t squeeze pimples Avoid heavy creams or oils Be consistent (results take 6–8 weeks)

Marks & pits:

Dark marks usually fade with time + sunscreen Pits do not improve much with creams — they need dermatologist procedures later (microneedling, lasers)

See a dermatologist if acne is painful, spreading, or leaving more scars.

I trust this helps Take care Thank you !

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What you’re describing sounds like a form of acne vulgaris, common during the teenage years, driven largely by hormonal changes causing increased oil production. The blackheads you see on your nose and forehead are open comedones, clogged pores that are exposed to the air. The dark marks, also known as post-inflammatory hyperpigmentation, occur when inflammation from acne triggers excess melanin production. The small pits are likely a form of acne scarring, resulting when inflammation damages collagen.

A consistent skincare routine can help manage this condition. Start with a gentle, foaming cleanser twice daily to remove excess oil and debris without over-stripping your skin. Look for products containing salicylic acid or benzoyl peroxide, both effective for acne. After washing, apply an oil-free moisturizer to maintain skin hydration without clogging pores.

For marks and scars, topical treatments containing ingredients like niacinamide, vitamin C, or hydroquinone can help fade pigmentation over time. Retinoids, available over-the-counter or by prescription, promote cell turnover, reducing both marks and preventing new acne; however, they can initially increase peeling and dryness. While creams can improve hyperpigmentation, deeper pits might respond better to dermatological procedures like chemical peels, microdermabrasion, or laser therapy—consult with a dermatologist for such options.

It’s also crucial to use non-comedogenic sunscreens daily, as UV exposure can worsen dark spots. And remember: touching your face or squeezing pimples can cause new outbreaks and worsen scarring. If your acne doesn’t improve with these steps, visit a dermatologist for personalized advice and possible prescription medications.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
48 days ago
5

Yes—this is acne vulgaris (comedonal + inflammatory acne), which is very common in teenage girls with oily skin and fluctuates with hormones; blackheads come from clogged pores, and acne that heals slowly can leave dark marks (post-inflammatory hyperpigmentation) and small pits (early acne scars). The marks happen due to inflammation and sun exposure, while pits form when deeper acne damages collagen—early care can prevent them from worsening. Start a simple routine: gentle foaming cleanser twice daily, salicylic acid 0.5–2% (once daily for blackheads), adapalene 0.1% at night (pea-sized, 2–3 nights/week → nightly), oil-free moisturizer, and sunscreen every morning; marks often fade with time and creams, but pits usually need procedures later, so please consult a dermatologist to tailor treatment and protect your skin long-term.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
51 days ago
5

Hello dear See you are progressing from puberty to adolescence So there changes are mostly due to hormonal alterations Iam suggesting some medication and precautions for improvement Please follow them for atleast a month Topical Treatments -Benzoyl Peroxide (2.5–5%) twice a day for week Salicylic Acid, Adapalene 0.1% can also be given as additive medications. 2.Clindamycin 1% Clindac A ,Tretinoin ( if already not taken). 3.Azelaic Acid 10 percent for two weeks. 4. Oral Medications -tablet Doxycycline 1 month twice a day for max 5 days Niacinamide serum –antiinflammatory in nature twice daily for 1 week In addition use aloevera - tulsi solution to apply topically for 1 month

In case of no improvement in 1 month, kindly consult dermatologist in person for better clarification Hopefully you recover soon Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
50 days ago
5

Your symptoms are consistent with acne vulgaris on oily, acne-prone skin, which is very common during the teenage years due to hormonal changes that increase oil production. The recurring pimples and blackheads occur because excess oil and dead skin block the pores. The dark marks are post-inflammatory hyperpigmentation, which forms after acne heals, and the small pits are early acne scars caused by deeper inflammation.

This condition is not dangerous and is treatable, but it requires a regular, gentle skincare routine rather than changing products frequently. With consistent use of suitable acne-control creams and sun protection, new acne can be reduced and dark marks can gradually fade. Early pits may improve over time, but deeper scars usually need professional dermatologic procedures later. Starting proper care now will help prevent further scarring and improve overall skin appearance.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
50 days ago
5

Hello It sounds like you’re dealing with a common but frustrating skin issue. Let’s address your concerns step by step.

Type of Acne - Yes, it sounds like you have a form of acne known as acne vulgaris, which can include both inflammatory (like pimples) and non-inflammatory (like blackheads) types. The dark marks left after acne heals are called post-inflammatory hyperpigmentation, and the small pits are often referred to as acne scars.

Causes of Dark Marks and Pits - Post-Inflammatory Hyperpigmentation: This occurs when the skin produces excess melanin in response to inflammation from acne. - Acne Scarring: Pits or indentations can form when the skin loses collagen during the healing process of acne.

Safe Daily Skincare Routine for Oily Skin 1. Cleanser: Use a gentle foaming cleanser with salicylic acid or benzoyl peroxide to help control oil and prevent breakouts. Cleanse twice daily. 2. Toner: Apply an alcohol-free toner with ingredients like witch hazel or tea tree oil to help tighten pores and control oil. 3. Moisturizer: Use a lightweight, oil-free moisturizer to keep your skin hydrated without adding excess oil. 4. Sunscreen: Apply a non-comedogenic sunscreen daily to protect your skin from UV damage and prevent dark marks from worsening. 5. Exfoliation: Exfoliate 1-2 times a week with a gentle chemical exfoliant (like AHA or BHA) to help remove dead skin cells and prevent clogged pores.

Improving Marks and Pits - Topical Treatments: Look for creams containing ingredients like: - Niacinamide: Helps reduce dark spots and improve skin texture. - Retinoids: Promote cell turnover and can help with both acne and scarring. - Vitamin C: Brightens the skin and helps with hyperpigmentation. - Professional Treatments: If the marks and pits persist, consider consulting a dermatologist for treatments like chemical peels, microdermabrasion, or laser therapy, which can improve skin texture and reduce scarring.

Consistency is key in skincare, so try to stick to a routine for at least a few weeks to see improvements.

Thank you and get well soon

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